| NPI | 1174668313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC7792) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 2994) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2025-04-09 |