| NPI | 1619139698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: MA 420254) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2009-07-28 |