| NPI | 1053510354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: NY 004161) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2024-03-28 |