| NPI | 1891064291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-68256) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT BBH-PCLC-LIC-42558) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2023-12-28 |