| 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 | 2023-10-10 |