| NPI | 1558942458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA LMHC10002477) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2024-09-03 |