| NPI | 1164166450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012375) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10005428) |
| Enumeration Date | 2022-04-23 |
| Last Update Date | 2025-12-04 |