| NPI | 1891316972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID LCPC-7592) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2024-03-19 |