| NPI | 1467129841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 014263) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P110869) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2025-05-23 |