| NPI | 1972729705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3668) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: WI 186-058) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2014-04-04 |