| NPI | 1134713407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 7147) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME CC5696) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2021-02-26 |