| NPI | 1144110446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A21667) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NC 1241195) |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-07-08 |