| NPI | 1821622515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 11630) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134961TELE) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2023-11-10 |