| NPI | 1043912645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 014888) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P117077) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2024-06-28 |