| NPI | 1710533716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC10953) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP9084) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2021-01-24 |