| NPI | 1134838576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP11295) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC13750) |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2024-12-10 |