| NPI | 1932580156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC6987) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-6987) |
| 101Y00000X Counselor (Licence: ID LCPC6987) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2024-07-09 |