| NPI | 1902782212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-11541) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT BHH-LCPC-LIC-11541) |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |