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 |