| NPI | 1962010280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10002000) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2024-08-15 |