| NPI | 1154757581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 006488-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 26154) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 28978) | |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2025-10-05 |