| NPI | 1063007102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP10570) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD ATG272) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-04-27 |