| NPI | 1457004731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012072-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 012072) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2025-08-12 |