| NPI | 1265148803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 013163) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CT 006389) |
| 101YM0800X Counselor Mental Health (Licence: MA LMHC10000645) | |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2024-03-15 |