| NPI | 1902514664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC16423) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP13242) |
| Enumeration Date | 2022-11-11 |
| Last Update Date | 2025-05-22 |