| NPI | 1801533542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5879) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2022-05-15 |
| Last Update Date | 2022-05-15 |