| NPI | 1134866122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 016141) |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2025-06-10 |