| NPI | 1003918418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MA 5625) |
| 101YM0800X Counselor, Mental Health (Licence: MA 5625) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2018-04-06 |