| NPI | 1073196689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013416) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P107046) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 37593) | |
| Enumeration Date | 2021-05-02 |
| Last Update Date | 2024-07-06 |