| NPI | 1902956089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC7737) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MA CCM4242685) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2024-12-16 |