| NPI | 1659762078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID LCPC-7519) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID LPC-5615) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2020-08-26 |