| NPI | 1043523319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8055) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 003033) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2025-06-24 |