| NPI | 1861937435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LGP5537) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD 300225) |
| 101YM0800X Counselor, Mental Health | |
| 101YS0200X Counselor, School (Licence: MD 1870) | |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |