| NPI | 1922331917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 000572) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CT 5445417422) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |