| NPI | 1073022232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LCPC12630) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LCPC12630) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2024-06-19 |