| NPI | 1952070633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC12399) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP9036) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2022-10-03 |