| NPI | 1194448084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC15392) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 3018) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2024-09-07 |