| NPI | 1033793476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC12372) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD LGP11139) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2022-02-03 |