| NPI | 1700395548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA LMHC10002468) |
| 101YM0800X Counselor, Mental Health (Licence: MA LMHC10002468) | |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2024-09-27 |