| NPI | 1750120994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: MA 541076) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MA 541076) |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |