| NPI | 1528567161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 10001856) |
| 103TC1900X Psychologist, Counseling (Licence: PR 7627) | |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2024-06-17 |