| NPI | 1912363235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: SC 235245) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |