| NPI | 1043884653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LC14090) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP11473) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2024-08-17 |