| NPI | 1699389668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC10931) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP7784) |
| Enumeration Date | 2020-09-07 |
| Last Update Date | 2022-12-06 |