| NPI | 1316024532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000002) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 000002) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 12352) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-09-16 |