| NPI | 1487109047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-7648) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-6261) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2022-05-05 |