| NPI | 1396023065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ID LPC 4616) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LCPC5443) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2019-02-14 |