| NPI | 1386087641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11218) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP9334) |
| 101YP2500X Counselor, Professional (Licence: MD LGP4536) | |
| 101YP2500X Counselor, Professional (Licence: MD LGP9334) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2021-05-07 |