| NPI | 1922876358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC 1632095) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DE 1632095) |
| 101YS0200X Counselor, School (Licence: DC 1632095) | |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |