| NPI | 1205177342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10005742) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC00740) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2026-03-12 |