| NPI | 1144781394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC8723) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC15031) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-03-29 |