| NPI | 1396485389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: MA 227894) | |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2024-03-25 |