| NPI | 1659942480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC13775) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP11490) |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2023-08-09 |