| NPI | 1740950344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 15322) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10000210) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2025-07-21 |