| NPI | 1194062687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC12969) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA LSWA414706) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2023-11-24 |