| NPI | 1215886478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10005150) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC019853) |
| Enumeration Date | 2026-01-22 |
| Last Update Date | 2026-03-19 |