| NPI | 1013127141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6123) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-5865) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2023-10-26 |