| NPI | 1659713493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5682) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 229993) |
| 101YS0200X Counselor, School (Licence: SC 242408) | |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |