| NPI | 1760579197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: VA 0803000080) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701003340) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2011-01-27 |