| NPI | 1962913301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 11095-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-8005) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2024-07-31 |