| NPI | 1033469572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-5751) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-5070) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2023-06-30 |