| NPI | 1538302120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MA 1100388) |
| Enumeration Date | 2009-04-12 |
| Last Update Date | 2009-04-12 |