| NPI | 1124376470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-6125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-5046) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2022-08-26 |