| NPI | 1760842058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC8026) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP6923) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2021-05-24 |