| NPI | 1699208835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 11669) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2023-11-29 |