| NPI | 1376265744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-PCLC-LIC-55023) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MT 224241) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |