| NPI | 1831643154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-7112) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-6220) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2023-08-03 |