| NPI | 1578306783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 014788) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 014788) |
| 101YM0800X Counselor, Mental Health (Licence: NY 014788) | |
| 101YP1600X Counselor, Pastoral (Licence: NY 014788) | |
| 101YP2500X Counselor, Professional (Licence: NY 014788) | |
| 251S00000X | |
| Enumeration Date | 2024-06-15 |
| Last Update Date | 2024-06-15 |