| NPI | 1275070682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6398) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-6417) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2022-06-07 |