| NPI | 1659583243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-7205) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-3544) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2019-03-25 |