| NPI | 1447967047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 015900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 118990-01) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2025-04-14 |