| NPI | 1710536453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10000063) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2023-08-22 |