| NPI | 1548893159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YS0200X Counselor School | |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-03-12 |