| NPI | 1417340928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 6472420) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: OR 6472420) |
| Enumeration Date | 2015-03-08 |
| Last Update Date | 2015-03-08 |