| NPI | 1689714107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5795) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC 3931) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2023-03-11 |