| NPI | 1255816708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-10031) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-6977) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2024-03-08 |