| NPI | 1518355288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT SWP-LCPC-LIC-11055) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 11055) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: MT SWP-LCPC-LIC-11055) | |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2024-03-21 |