| NPI | 1427610344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 12166) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MA 480403) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2022-09-23 |