| NPI | 1134570955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10001186) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2024-02-01 |