| NPI | 1982056875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-8277) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180011943) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2023-09-22 |