| NPI | 1366846958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 18325) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD 18325) |
| 101YS0200X Counselor, School (Licence: MD 18325) | |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |