| NPI | 1851025951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-70433) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT BBH-PCLC-LIC-56895) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2024-03-26 |