| NPI | 1619548989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD lgp10588) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LCP12754) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2022-06-28 |