| NPI | 1619514734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: DC PRC1246) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC3195) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2024-08-20 |