| NPI | 1871760355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2666) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2013-07-05 |