| NPI | 1861623225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-5772) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2016-01-16 |