| NPI | 1760122931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC15775) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD LGP11035) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2024-11-05 |