| NPI | 1104336148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 20534) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMHC16332) |
| 101YM0800X Counselor, Mental Health (Licence: FL 16332) | |
| 101YS0200X Counselor, School (Licence: FL 1241254) | |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2023-01-09 |