| NPI | 1477445583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC7138) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 20413) |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-07-15 |