| NPI | 1710178736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MA 7128) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NY 015776) |
| 101YP2500X Counselor Professional (Licence: NH 2688) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2025-03-08 |