| NPI | 1306408976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ID LCPC-8453) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LPC-7347) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2022-08-31 |