| NPI | 1003920646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 1198) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 1198-LCPC) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2018-06-16 |