| NPI | 1902334881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LCPC-8292) |
| 101Y00000X Counselor (Licence: OR LPC-C5413) | |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2023-12-29 |