| NPI | 1962814723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-8553) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YP2500X Counselor, Professional (Licence: OR LPC-7375) | |
| 101YP2500X Counselor, Professional (Licence: ID LPC-5686) | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2024-04-03 |