| NPI | 1881941631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID LCPC-6151) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID 5010) |
| Enumeration Date | 2012-08-11 |
| Last Update Date | 2022-05-05 |