| NPI | 1376266312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10006527) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2026-08-04 |