| NPI | 1043615537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2807) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA LPC# 2807, MFT998) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2022-01-19 |