| NPI | 1245225879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC3480) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-2773) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2024-01-12 |