| NPI | 1164935979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-53434) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV CP0239) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2022-09-02 |