| NPI | 1962052324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10000350) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2023-06-23 |