| NPI | 1669056131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC012698) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00880500) |
| 101YP2500X Counselor, Professional (Licence: WA LH61356267) | |
| 101YP2500X Counselor, Professional (Licence: PA PC014914) | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2025-01-18 |