| NPI | 1043553530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 8447) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC LPC 88447) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2024-07-19 |