| NPI | 1235671116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 009420) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2026-05-23 |