| NPI | 1689159253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC6456) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME XL5112) |
| Enumeration Date | 2018-09-30 |
| Last Update Date | 2022-06-17 |