| NPI | 1720265465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-378) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LMFT-2861) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2011-10-23 |