| NPI | 1255513339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10001846) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MA 420793) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2024-09-10 |