| NPI | 1841781945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 4802) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: VT 068.0136440) | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2025-03-18 |