| NPI | 1851614390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20394) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PR 3529) |
| 103TS0200X Psychologist, School (Licence: PR 3529) | |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2025-01-13 |