| NPI | 1841511417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC2394) |
| 101YP2500X Counselor, Professional (Licence: MD LC2394) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2021-08-21 |