| NPI | 1023524642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5767) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MA 417034) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |