| NPI | 1396458519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012899-01) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical (Licence: NY 012899-01) | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-01-03 |