| NPI | 1356854483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011144) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P06409) |
| Enumeration Date | 2017-11-11 |
| Last Update Date | 2025-08-08 |