| NPI | 1033004726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC7996) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10003511) |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |