| NPI | 1700603412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A20578) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NC 1292826) |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |