| NPI | 1275133407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC13078) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP108936) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2022-10-29 |