| NPI | 1750044046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 12510) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC12327) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2022-02-24 |