| NPI | 1295361541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC11394) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP9401) |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2021-11-17 |