| NPI | 1750802724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 11221) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL SS1854) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2024-07-25 |