| NPI | 1487907002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701012253) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME CC6491) |
| 101YM0800X Counselor, Mental Health (Licence: NY 006398) | |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2023-11-15 |