| NPI | 1578912051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-7907) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-6193) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2024-02-01 |