| NPI | 1114539376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LPC7817) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LCPC7817) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2023-05-31 |