| NPI | 1720143977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-5144) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 00956) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2024-03-15 |