| NPI | 1134837123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10000253) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional (Licence: PA PC009144) | |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2023-10-13 |