| NPI | 1649729583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MA LMHC100034267) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60824808) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2025-03-27 |