| NPI | 1902269053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A21197) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: TN 000618429) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2025-07-07 |