| NPI | 1366912271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 009178) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 5101) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2025-11-18 |