| NPI | 1649032509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 014353) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 10014) |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2025-04-29 |