| 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 |