| NPI | 1669925319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 12107) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2023-05-25 |