| NPI | 1235757139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 01252001) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 95328) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2025-12-15 |