| NPI | 1578183513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 099825) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A15369) |
| 101YS0200X Counselor, School (Licence: SC 214649) | |
| 101YS0200X Counselor, School (Licence: NC 1230866) | |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |