| NPI | 1194964346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT LCPC-1283) |
| Additional Taxonomies | 174400000X Specialist (Licence: MT 1283-LCPC) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2024-03-30 |