| NPI | 1477190148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 009199) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 009199) |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2025-06-25 |