| NPI | 1578342614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 016717) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC6886) |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2025-10-06 |