| NPI | 1366287906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: BBH-LCPC-LIC-71680) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2024039342) |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2025-01-02 |