| NPI | 1407238538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC5000831) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2024-12-12 |