| NPI | 1558522417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 6978) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2025-03-10 |