| NPI | 1063746436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007820) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM CTB-2022-0766) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2025-02-03 |