| NPI | 1275239493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 016109) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 18-P119699-01) |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2025-05-20 |