| NPI | 1679047625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A13959) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NC 1175831) |
| Enumeration Date | 2019-01-13 |
| Last Update Date | 2019-01-13 |