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 |