| NPI | 1174169098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC11644) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP9695) |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2023-12-04 |