| NPI | 1316667033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC14403) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP9067) |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2023-10-04 |