| NPI | 1881974152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 291) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT V068.0064110) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00231800) | |
| 101YM0800X Counselor, Mental Health (Licence: NY 004725) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2021-05-19 |