| NPI | 1962157305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5849) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC5849) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2026-05-15 |