| NPI | 1801272018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC00407) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: RI 65727) |
| 101YS0200X Counselor, School (Licence: MA 472836) | |
| 101YS0200X Counselor, School (Licence: HI SL007415) | |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |