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 |