| NPI | 1922984053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0704016529) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: VA PPS-0609272) |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-13 |