NPI | 1295219285 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10003404) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-09-17 |
Last Update Date | 2025-01-02 |