| NPI | 1811521412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 124344) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 224868) |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2021-11-29 |