| NPI | 1407601248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH25587) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: FL 1252968) |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-23 |