| NPI | 1063182475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC14186) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP11747) |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2023-10-03 |