| NPI | 1720145055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME cc3696) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 6977) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2010-11-22 |