| NPI | 1235783564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-6978) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-16079) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2021-02-05 |