| NPI | 1891277695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC11146) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP8609) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2021-01-21 |