| NPI | 1871828657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-5644) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 1431) |
| 101YM0800X Counselor, Mental Health (Licence: ID LPC-5407) | |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2023-07-10 |