| NPI | 1942865498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC10493) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP8690) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2024-05-10 |