| NPI | 1457877334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6568) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 6568) |
| 101YM0800X Counselor, Mental Health (Licence: LA 6568) | |
| 101YS0200X Counselor, School (Licence: MS 204233) | |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2022-07-21 |