| NPI | 1831719830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LPC10344) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17855) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2022-02-22 |