| NPI | 1144838509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC14003) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LC14003) |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2024-01-23 |