| NPI | 1588110035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-57147) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-LAC-LIC-19011) |
| 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-57147) | |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2022-08-19 |