| NPI | 1679522197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 39001509A) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: IN 39001509A) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-08 |