| NPI | 1417211988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID LCPC 6325) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ID LPC 4919) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2023-12-29 |