| NPI | 1104584663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013625) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P110640) |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2024-10-31 |