| NPI | 1629794250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A17922) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NC 1105594) |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2023-02-21 |