| NPI | 1740426832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: FL SS#0000554) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL SS#0000554) |
| 103T00000X Psychologist (Licence: FL SS#0000554) | |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2008-12-19 |