| NPI | 1871929125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ID LCPC-6053) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LPC-4977) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2023-10-05 |