| NPI | 1114355757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LPC-5336) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-6750) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2021-01-12 |