| NPI | 1194231779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MA LMHC10000401) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2025-01-27 |