| NPI | 1003329905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ID LCPC-8350) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR C7279) |
| 101Y00000X Counselor | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2026-06-29 |