| NPI | 1891327805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC6153) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME XL5305) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2024-08-12 |