| NPI | 1154595759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-360) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: ID LCPC-360) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2024-01-17 |