| NPI | 1205905940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 4813) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 4813) |
| 101YM0800X Counselor, Mental Health (Licence: CT 3205) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2024-05-21 |