| NPI | 1295277820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21398) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 009206) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2025-08-13 |