| NPI | 1255521035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-11745) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MT BBH-LCPC-LIC-11745) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-11745) | |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2020-06-29 |