| NPI | 1013485085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012615) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2026-07-17 |