| NPI | 1417592619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 101YM0800X Counselor, Mental Health (Licence: LA 6824) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-12-13 |