| NPI | 1033483268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: OK 301493) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-08-28 |