| NPI | 1639526932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-8142) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LCPC-8142) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2024-02-16 |