| NPI | 1326795352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LGP11823) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD 11823) |
| 103TC1900X Psychologist Counseling (Licence: MD LGPC11863) | |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-03-10 |