| NPI | 1013005933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-304) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-304) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-08-08 |