| NPI | 1265612196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 5009) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: SC 4607) |
| 101YS0200X Counselor, School (Licence: NC 7057) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 7057) | |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2010-01-04 |