| NPI | 1245813500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10000498) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 7713) |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2025-04-21 |