| NPI | 1255962734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC12351) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP10212) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2022-09-13 |