| NPI | 1588272561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008618) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE PC-0011042) |
| 101YM0800X Counselor, Mental Health (Licence: NE 4266) | |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2026-05-01 |