| NPI | 1366820110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ME XL4177) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL TMHP1999) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2024-01-09 |