| NPI | 1669218202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MT BBH-LCPC-LIC-72117) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MT BBH-LCPC-LIC-72117) |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-08-15 |