| NPI | 1942412135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NM 1107) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC-4629) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2017-12-20 |