| NPI | 1174168132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC12083) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2023-07-13 |