| NPI | 1780135533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist School |
| Additional Taxonomies | 101YS0200X Counselor School |
| 101YS0200X Counselor School | |
| 103TS0200X Psychologist School | |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |