| NPI | 1376783506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10000818) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 3530) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2024-07-18 |