| NPI | 1861081200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 65953) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT BBH-PCLC-LIC-45189) |
| 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-65953) | |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2024-01-18 |