| NPI | 1073020533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 11819-MH-CC) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2023-12-11 |