| NPI | 1396986709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-5676) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-3998) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2014-09-04 |