| NPI | 1316691710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-55123) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2022-02-05 |
| Last Update Date | 2022-05-18 |