| NPI | 1932688744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC10449) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP8812) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2020-05-05 |