| NPI | 1376915801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2355) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME CC7080) |
| 101YM0800X Counselor, Mental Health (Licence: MA LMHC11888) | |
| 101YM0800X Counselor, Mental Health (Licence: NH MHC01755) | |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2025-05-02 |