| NPI | 1235651183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: TN 000702717) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |