| NPI | 1356122519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 018189) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 2696521) |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2026-07-30 |