| NPI | 1518409382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-6841) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-6385) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2019-02-19 |