| NPI | 1447558499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT LCPC 1529) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0182351) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2021-07-26 |