| NPI | 1760012140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MT BBH-LCPC-LIC-41362) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-41362) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2025-07-23 |