| NPI | 1295472660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 016198) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 18-P123348-01) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2025-09-26 |