| NPI | 1184205205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC13672) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP11353) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2023-03-27 |