| NPI | 1437794955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11564) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP9720) |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2021-08-18 |