| NPI | 1023156502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE LIMHP 445) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NE LMHP2899, LMFT113) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2024-04-17 |