| NPI | 1891978839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-3637) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-4469) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2023-12-01 |