| NPI | 1700153004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 2539) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MS 2539) |
| 101YS0200X Counselor, School (Licence: MS 2539) | |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |