| NPI | 1467885939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-6730) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LPC-5292) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2024-07-31 |