| NPI | 1972043172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 13320) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2024-07-16 |