| NPI | 1053980961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA LN96634) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2023-09-11 |