| NPI | 1487206736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12035) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP6917) |
| 101YP2500X Counselor, Professional (Licence: MD LCPC12035) | |
| 101YP2500X Counselor, Professional (Licence: MD LCPC6917) | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2023-02-08 |