| NPI | 1801332648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11081) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME XL4810) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2021-03-16 |