| NPI | 1578221131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-10592) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LPC-8526) |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2025-06-25 |