| NPI | 1437724622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 014743) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 014743) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH19021) | |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2025-08-06 |