| NPI | 1952813412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-9511) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 8158) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2024-09-23 |