| NPI | 1538788856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 006863) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 46125) |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC3597) | |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2023-08-04 |