| NPI | 1982369294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC14458) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP12019) |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2023-10-15 |