| NPI | 1588279897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD R162669) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD R16266) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |