| NPI | 1891431888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC14983) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD LGP12600) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2024-03-28 |