| NPI | 1275866246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-3942) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C8957) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2025-11-19 |