| NPI | 1942827829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC12718) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP10504) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2022-07-13 |