| NPI | 1881911238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MT BBH-LCPC-LIC-1487) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MT 1487) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2021-05-12 |