| NPI | 1174042329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 7296) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: NY 011669-01) | |
| 101YM0800X Counselor, Mental Health (Licence: CA LPCC13810) | |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2023-11-27 |