| NPI | 1336732338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A16098) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NC 1065601) |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-02-19 |