| NPI | 1588719355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC LPC 2647) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC NCC86562) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2023-07-18 |