| NPI | 1306540505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC14765) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP11188) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2024-01-30 |