| NPI | 1740076421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10002907) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MA 10002907) |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-05-12 |