| NPI | 1619510211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID Lcpc-5433) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LCPC-5433) |
| Enumeration Date | 2019-10-26 |
| Last Update Date | 2025-07-22 |