| NPI | 1588175582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA LMHC10000656) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MA 4191) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2024-01-18 |