| NPI | 1932823077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC14647) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC14647) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2024-08-09 |