| NPI | 1770187759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A15767) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NC 1198233) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2020-11-30 |