| NPI | 1932692951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 12398) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2022-10-28 |