| NPI | 1457097206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 110483-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 110483-01) |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2025-12-08 |