| NPI | 1982278560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC13248) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE AC-0010319) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2022-10-28 |