| NPI | 1659833804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12156) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP7665) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2021-12-21 |