| NPI | 1073321519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YS0200X Counselor, School | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |