| NPI | 1992216923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGPC7325) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2018-05-24 |