| NPI | 1932309531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 1333) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CO 0203795) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2016-03-04 |