| NPI | 1609111384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME cc3993) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL3377) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2020-11-04 |