| NPI | 1306500657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC12104) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD LGP10310) |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2023-08-15 |