| NPI | 1215424999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012821-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 012821) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2025-02-25 |