| NPI | 1225084304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC0021417) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: ID LCPC-4139) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2024-12-27 |