| NPI | 1447849757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2418) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 1205) |
| 101YM0800X Counselor, Mental Health (Licence: MA LMHC5000779) | |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2024-04-30 |