| NPI | 1699129650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC8522) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP6932) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2021-12-08 |