| NPI | 1841448172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NH 2156) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 5611) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2023-10-03 |