| NPI | 1992923676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MA 6036) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 884) |
| 103TS0200X Psychologist, School (Licence: MA 274592) | |
| 1041S0200X Social Worker, School (Licence: MA 274592) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |