| NPI | 1407448608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013735) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0019619) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2025-09-25 |