| NPI | 1639949068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 7176) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 015122) |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2025-03-05 |