| NPI | 1134786023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC11404) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP9562) |
| Enumeration Date | 2019-05-25 |
| Last Update Date | 2021-06-11 |