| NPI | 1902313661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: NC A13488) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A13488) |
| 103TS0200X Psychologist, School (Licence: NC A13488) | |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-06-16 |