| NPI | 1689810236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 4765) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 313113) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2023-12-01 |