| NPI | 1831829688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MT BBH-LCPC-LIC-65525) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MT BBHPCLCAPP56316) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2023-11-13 |