| NPI | 1689063000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-8346) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 74821) |
| 101Y00000X Counselor (Licence: MT SWP-LCPC-LIC-8346) | |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2024-06-05 |