| NPI | 1073744066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-4471) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LCPC-4471) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2011-07-17 |