| NPI | 1033864640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005079) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY P113671) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-02-14 |