| NPI | 1932755196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-42677) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 25419) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2025-03-17 |