Individual
ALICE LINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC011456
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC011456
LICENSED TYPE: PROFESSIONAL COUNSELOR
PA
Enumeration date
06/06/2019
Last updated
06/06/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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