| NPI | 1689388605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10004210) |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2025-07-30 |