| NPI | 1407408644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-8256) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR LPC-C7901) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2025-01-16 |