| NPI | 1740514074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID LCPC-5415) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID LPC-4187) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2023-06-27 |