| NPI | 1326700519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC12791) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP10531) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2023-03-15 |