| NPI | 1437766805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-9632) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-7733) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2023-11-08 |