| NPI | 1497340889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC8028) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 2491) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH18970) | |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2025-04-02 |