| NPI | 1477915288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2015016676) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2015016676) |
| 101YS0200X Counselor, School (Licence: MO 2015016676) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-06-15 |