| NPI | 1891489530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 07042) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD A0771) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2024-04-16 |