| NPI | 1780059147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: LA 541696) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2016-01-12 |