| NPI | 1467842260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 10398) |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2024-11-21 |