| NPI | 1740604529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-7039) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-5486) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2022-06-07 |