| NPI | 1518044379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC1659) |
| 101YM0800X Counselor, Mental Health (Licence: WV 1917) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-05-13 |