| NPI | 1215451711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC9201) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP7502) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2021-08-20 |