| NPI | 1275308603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP14572) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0704016505) |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |