| NPI | 1184779993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13266) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME CC3059) |
| 101YP2500X Counselor, Professional (Licence: NC 13266) | |
| 101YP2500X Counselor, Professional (Licence: ME CC3059) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2019-03-29 |