| NPI | 1083959332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-5876) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-5912) |
| 101YP2500X Counselor, Professional (Licence: MT 2407) | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2021-03-17 |