| NPI | 1982112561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LGP8311) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD ATG197) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2025-05-20 |