| NPI | 1033818125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013177) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 0133177) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-02-27 |