| NPI | 1184741001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MA LMHC5808) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 5808) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2016-08-18 |