| NPI | 1891246518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 11198) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC11198) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2024-07-19 |