| NPI | 1063956076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7296) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 7296) |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2020-06-15 |