| NPI | 1114524956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-37561) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: BBH-LCPC-LIC-37561) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2021-09-02 |