| NPI | 1053933259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-42847) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC013013) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2023-09-21 |