| NPI | 1235710864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ME CC7552) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2024-06-25 |