| NPI | 1053689422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 8705) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME CC7468) |
| 101YM0800X Counselor, Mental Health (Licence: NH 2206) | |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2025-02-28 |