| NPI | 1164171401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YS0200X Counselor School |
| 1041S0200X Social Worker School | |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2023-06-27 |