| NPI | 1053820050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH18130) |
| 101YP2500X Counselor, Professional (Licence: ME CC6599) | |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2024-10-15 |