| NPI | 1497078083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 1327-LCPC) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 3508) |
| 101YP2500X Counselor, Professional (Licence: CO 3508) | |
| 101YP2500X Counselor, Professional (Licence: MT 1327-LCPC) | |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |