| NPI | 1295157188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-5457) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: ID LCPC-5457) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2025-04-17 |