| NPI | 1316584733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC12276) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP9023) |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2023-01-17 |