| NPI | 1154738300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 06859) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC LC301985) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2020-09-25 |