| NPI | 1548936784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 20182) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 014125) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2026-03-18 |