| NPI | 1124665674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC12746) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP9987) |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2023-07-10 |