| NPI | 1316272164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23847) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC3920) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2025-01-15 |