| NPI | 1710431606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: MA S71093474) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2019-10-21 |