| NPI | 1912591017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC5000971) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: RI MHC01497) | |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2025-10-03 |