| NPI | 1972056711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10000315) |
| 101YM0800X Counselor, Mental Health (Licence: RI MHC01137) | |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2024-10-02 |