| NPI | 1942850169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-8906) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-7434) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2023-07-04 |