| NPI | 1639772007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 015378) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2025-05-15 |