| NPI | 1255051140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 014594) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P116916) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2024-08-01 |