| NPI | 1568952497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-8208) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC6864) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2022-05-09 |