| NPI | 1952784332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC4549) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC4549) |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2023-08-03 |