| NPI | 1033831706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WV BP00944506) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 28233) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2024-02-02 |