| NPI | 1245301845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC6792) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 6792) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2024-07-17 |