| NPI | 1801382130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 8442) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC9554) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2019-08-26 |