| NPI | 1346746880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 30028) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: BBH-LCPC-LIC-30028) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-04-04 |