| NPI | 1619310794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC8383) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101Y00000X Counselor | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2026-04-22 |