| NPI | 1629717236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013683-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P114118) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2025-05-06 |