| NPI | 1679188312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA LMHC10000857) |
| Additional Taxonomies | 101YS0200X Counselor School |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2024-09-04 |