| NPI | 1033842273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC13705) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC014540) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2023-08-15 |