| NPI | 1578124590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC6957) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME XL518) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2023-04-08 |