| NPI | 1538552708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 10457) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2020-02-19 |