| NPI | 1609306695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ID LCPC-7545) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LPC-6487) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2023-06-28 |