| NPI | 1679894497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-4637) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-4098) |
| 101YP2500X Counselor, Professional (Licence: ID LPC-4098) | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2020-09-28 |