| NPI | 1154074631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC14840) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD LC14840) |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2024-02-22 |