| NPI | 1144315722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC 770) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: ID LCPC 770) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-11-04 |