| NPI | 1831604297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC16083) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD LGP13589) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2025-05-21 |