| NPI | 1912459587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-6828) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-5927) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2022-01-25 |