| NPI | 1942778360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2018036494) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2018-11-03 |
| Last Update Date | 2018-11-03 |