| NPI | 1477201382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MA LMHC10000302) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0018066) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2023-10-02 |