| NPI | 1972135275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC12379) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP10207) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2022-02-24 |