| NPI | 1497450753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH23501) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: FL 1085800) |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-04 |