| NPI | 1235356106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC6029) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2025-03-20 |