| NPI | 1255774816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC LPC9658) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 9658) |
| Enumeration Date | 2013-04-14 |
| Last Update Date | 2015-04-28 |