| NPI | 1336738004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 12472) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NE 2018004402) |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-01-15 |