| NPI | 1104199074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ID LCPC-7004) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2023-07-11 |