| NPI | 1134558372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC5000552) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2023-07-11 |