| NPI | 1225693906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC13207) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH LCMHC4821) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2025-06-04 |