| NPI | 1083199616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 025378) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 023578) |
| Enumeration Date | 2018-09-29 |
| Last Update Date | 2024-11-02 |