| NPI | 1932420106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH-9456) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 016131-1) |
| 103TS0200X Psychologist, School (Licence: FL SS866) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2011-07-05 |