| NPI | 1225768203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ID LCPC-9739) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MT BBH-PCLC-LIC-51949) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2023-11-10 |