| NPI | 1427323302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MA 11262) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 11262) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2025-12-08 |