| NPI | 1487272050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LGP10610) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD ATG252) |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |