| NPI | 1437765815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10002304) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2024-06-24 |