| NPI | 1306269543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 1265645261) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2022-07-21 |