| NPI | 1851685903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC5244) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 6353) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2026-02-27 |