| NPI | 1598492951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 015472) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 114918-01) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2025-04-09 |