| NPI | 1487381547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012610) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC21342) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2026-07-31 |