| NPI | 1891022919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 13040) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC3775) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2015-02-27 |