| NPI | 1790926004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 000150) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MO 000150) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |