| NPI | 1851869697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC11445) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP8380) |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2022-03-28 |