| NPI | 1235894536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP15377) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD A0653) |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2024-07-31 |