| NPI | 1215447941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC8541) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2020-09-01 |