| NPI | 1093201337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-8326) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-6903) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2023-09-07 |