| NPI | 1326412826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP6716) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC8368) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2023-02-09 |