| NPI | 1417194937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 15284) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL LMHC8701) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2019-11-07 |