| NPI | 1679870844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID LCPC7261) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OR C6257) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2024-10-08 |