| NPI | 1083944284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 8715) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MA 8715) |
| 101YS0200X Counselor, School (Licence: MA 363278) | |
| 174400000X Specialist (Licence: MA 218948) | |
| 405300000X Prevention Professional (Licence: MA 8715) | |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2024-09-01 |