| NPI | 1285270215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 014382-1) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH23920) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2024-10-11 |