| NPI | 1821556903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NE 11608) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2021-03-10 |