| NPI | 1780238022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC13587) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0019161) |
| 101YM0800X Counselor, Mental Health (Licence: MD ATG240) | |
| 101YM0800X Counselor, Mental Health (Licence: MD ATC285) | |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2023-03-06 |