| NPI | 1407166176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 000009377) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC15026) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2024-04-15 |