| NPI | 1245767227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC2022) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD LC2022) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2024-04-02 |