| NPI | 1649522608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME cc4431) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME XL4010) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2022-05-05 |