| NPI | 1265071120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P129954) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: NY 0122121) |
| Enumeration Date | 2019-12-24 |
| Last Update Date | 2025-12-19 |