| NPI | 1104719228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 015404-01) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: NY 1739106232) |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-07-12 |