| NPI | 1386483865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MA 5894) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: MA 1234) |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-05-23 |