| NPI | 1851673727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: FL SS1455) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P73713) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2023-02-09 |