| NPI | 1932557808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 12390) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2025-11-03 |