| NPI | 1811235096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: SC 242062) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 2438) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |