| NPI | 1033209796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LPC-3644) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LCPC-5665) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2025-07-20 |