| NPI | 1588370159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10002560) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC19487) |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2026-05-21 |