| NPI | 1871247205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC8363) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 5541) |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2025-10-11 |