| NPI | 1518703628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10005210) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA LMHC10005210) |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2025-12-11 |