| NPI | 1881246445 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 101YS0200X Counselor, School | |
| Enumeration Date | 2019-07-14 | 
| Last Update Date | 2019-07-14 |