| NPI | 1447627898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 11058) |
| 101YM0800X Counselor Mental Health (Licence: NH 4771) | |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2024-11-06 |