| NPI | 1588383269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013552) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P117381) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2023-08-16 |