| NPI | 1780149385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC10026) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP7962) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2024-07-02 |