| NPI | 1104582253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LICSW1143558) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2026-05-19 |