| NPI | 1104462290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP10021) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP10021) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC12206) | |
| Enumeration Date | 2019-11-23 |
| Last Update Date | 2023-08-21 |