| NPI | 1457710501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 015925) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC17313) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2025-12-05 |