| NPI | 1982553335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10004859) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MA 8007569) |
| Enumeration Date | 2026-01-27 |
| Last Update Date | 2026-01-27 |