| NPI | 1568262814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: NY 478095) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A21278) |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-04-21 |