| NPI | 1003359332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC7930) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP6742) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2019-06-18 |