| NPI | 1619661972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 016061) |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2026-03-16 |