| NPI | 1114622164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A19595) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 101YP2500X Counselor, Professional (Licence: NC A19595) | |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2026-06-17 |