| NPI | 1972963585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC LCMHC18324) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0014692) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2023-02-14 |