| NPI | 1417336801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-8048) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-5617) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2024-06-12 |