| NPI | 1710433370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10000455) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH15348) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-10-31 |