| NPI | 1972224194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC14222) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD LGP11069) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2023-10-23 |