| NPI | 1447562939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3564) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00939400) |
| 101YP2500X Counselor, Professional (Licence: VA 0701012165) | |
| 101YP2500X Counselor, Professional (Licence: GA LPC013178) | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2023-05-16 |