| NPI | 1033777149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 009383) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 19431) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2024-04-17 |