| NPI | 1336785419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14430) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH14430) |
| 101YS0200X Counselor, School (Licence: FL 1165963) | |
| Enumeration Date | 2019-11-23 |
| Last Update Date | 2019-11-23 |