| NPI | 1922433085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-6300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 5267) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2024-02-26 |