| NPI | 1023549029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID LCPC-9518) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID LPC6255) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2023-12-27 |