| NPI | 1962761403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5454) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 5454) |
| 101YM0800X Counselor, Mental Health (Licence: SC 5454) | |
| 101YS0200X Counselor, School (Licence: SC 255170) | |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-05-03 |