| NPI | 1336537497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-5721) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC7141) |
| 101YM0800X Counselor, Mental Health (Licence: LA LPC8810) | |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2023-04-20 |