| NPI | 1720394810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-6083) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LCPC-6083) |
| 101YP2500X Counselor, Professional (Licence: ID LPC-5398) | |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2020-10-27 |