| NPI | 1225343296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-5130) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-4578) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2023-06-27 |