| NPI | 1194419077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC11848) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD A0744) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |