| NPI | 1942431523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC -607) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA LMFT-456) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |