| NPI | 1225551203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ME CC6163) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ME XL4906) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2021-12-03 |