| NPI | 1699142158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LCPC-6865) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2024-09-17 |