| NPI | 1891980538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-9682) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 174400000X Specialist (Licence: AZ 6210090) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2024-08-22 |