| NPI | 1598954786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-4416) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-3840) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2018-03-17 |