| NPI | 1740767284 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-8075) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-6929) | 
| 101YP2500X Counselor, Professional (Licence: ID LPC6929) | |
| 101YP2500X Counselor, Professional (Licence: ID 6929) | |
| Enumeration Date | 2018-07-27 | 
| Last Update Date | 2024-04-13 |