| NPI | 1174110928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC12888) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC200001693) |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2023-03-06 |