| NPI | 1861011637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC5000928) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2026-03-27 |