| NPI | 1194508978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 016148) |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2025-07-26 |