| NPI | 1265782924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-6682) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-C6682) |
| 101YM0800X Counselor, Mental Health (Licence: ID LPC-5003) | |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2023-06-08 |