| NPI | 1235603879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC10886) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP9099) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2023-08-28 |