| NPI | 1235854837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 015676) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 116540-01) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2025-08-14 |