| NPI | 1598146839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-7208) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC 5754) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2019-04-01 |