| NPI | 1144644709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-43090) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0181471) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2022-07-20 |