| NPI | 1447901970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-62584) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MT BBH-PCLC-LIC-54979) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2023-03-14 |