| NPI | 1346767464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-8197) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-6657) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2024-05-20 |