| NPI | 1336782242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME XL5328) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC6398) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2025-04-16 |