| NPI | 1114455821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA LMHC10001100) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YM0800X Counselor Mental Health (Licence: NY 007154) | |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2024-05-24 |