| NPI | 1730541467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-6979) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC 3525) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-10-29 |