| NPI | 1518327246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-15791) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 15791) |
| 101YP2500X Counselor, Professional (Licence: WY 1640) | |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2018-10-09 |