| NPI | 1487226759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10003393) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH19388) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2025-05-01 |