| NPI | 1821128836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10714) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 467) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2025-04-11 |