| NPI | 1932641842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60348098) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OH OH3083789) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |