| NPI | 1124590278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC13255) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: MD LC13255) | |
| 101YP2500X Counselor, Professional (Licence: MD LGP8992) | |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2023-03-09 |