| NPI | 1457632556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-5938) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-4613) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2022-07-21 |