| NPI | 1740822683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401016853) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2021-08-03 |