| NPI | 1770975104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: ME CC6725) | |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2025-07-10 |