| NPI | 1720583859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6802) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: SC 4673) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2023-06-14 |