| NPI | 1073065447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 11321) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 272) |
| 101YM0800X Counselor, Mental Health (Licence: NY 13761) | |
| 101YM0800X Counselor, Mental Health (Licence: TN 6493) | |
| 101YM0800X Counselor, Mental Health (Licence: VT 068.0134696TELE) | |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2023-12-11 |