| NPI | 1659078475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10003162) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 101YM0800X-Counselor) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2025-07-24 |