| NPI | 1083213433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12958) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP10812) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC12958) | |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2023-07-31 |