| NPI | 1952669319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL imh9226) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: FL 939954) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2019-09-12 |