| NPI | 1336663293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LC9619) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LG8012) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-11-22 |