| NPI | 1275137168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 014255) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 40120) |
| 101Y00000X Counselor (Licence: CT 9768) | |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2026-02-26 |