| NPI | 1881140788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 12521) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA s27006721) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2021-11-17 |