| NPI | 1225115074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 46-003898) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 5288-125) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180005618) | |
| 101YM0800X Counselor, Mental Health (Licence: RI 01502) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-04-12 |