| NPI | 1225372204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-4699) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NCC-275357) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |