| NPI | 1659764835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 17703) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0904011683) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2024-09-17 |