| NPI | 1174285969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10002937) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC14465) |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2024-11-09 |