| NPI | 1407234115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC8641) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP6324) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2021-08-14 |