| NPI | 1033784194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME LC22363) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME MC20033) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2023-05-15 |