| NPI | 1962026252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 1994) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 10425) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2021-02-19 |