| NPI | 1629739628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 014190) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P113383) |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2024-01-22 |