| NPI | 1922563071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 101YS0200X Counselor School | |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |