| NPI | 1598542417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10004986) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 5779) |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2026-07-09 |