| NPI | 1164973384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10000126) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC7843) |
| 101YP2500X Counselor, Professional (Licence: MA LMHC10000126) | |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2025-03-14 |