| NPI | 1245971464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 014173) |
| Enumeration Date | 2022-04-03 |
| Last Update Date | 2024-10-03 |