| NPI | 1003425547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-9127) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-7700) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2023-06-05 |