| NPI | 1023526928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC10044) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP8408) |
| Enumeration Date | 2018-01-14 |
| Last Update Date | 2024-02-07 |