| NPI | 1760812937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10002430) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA LSW315202) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2024-08-07 |