| NPI | 1518642990 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA APC007822) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: GA 1628767) |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-21 |