| NPI | 1073944062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 4607) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MA 355111) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |