| NPI | 1922352798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-5788) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-5088) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2021-03-24 |