| NPI | 1760059166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC11669) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH20165) |
| 101YM0800X Counselor Mental Health (Licence: MD LGP9734) | |
| Enumeration Date | 2021-06-06 |
| Last Update Date | 2022-09-04 |