| NPI | 1336877125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-69978) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MT BBH-PCLC-LIC-57135) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2024-05-10 |