| NPI | 1306315221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701006615) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: VA 0600883) |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |