| NPI | 1740655950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10001765) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME CC8280) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2026-05-18 |