| NPI | 1073124715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10001701) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA s12434515) |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2024-05-21 |