| NPI | 1053792788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP5951) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC8243) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2025-07-09 |