| NPI | 1952129785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 103TF0000X Psychologist, Family | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |