| NPI | 1902232465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YM0800X Counselor, Mental Health | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2014-03-13 |