| NPI | 1780854653 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 005851)  | 
| Additional Taxonomies | 103TS0200X Psychologist, School | 
| Enumeration Date | 2008-03-07 | 
| Last Update Date | 2024-09-27 |