| NPI | 1093146300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 006244) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 9237) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2025-12-19 |