| NPI | 1760936280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP5846) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC10642) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2021-10-04 |