| NPI | 1336780154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC13294) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC013724) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2024-06-18 |