| NPI | 1912157769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC2311) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC2311) |
| 103TC1900X Psychologist, Counseling (Licence: MD LC2311) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2020-12-14 |