| NPI | 1649768847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 094449-01) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 102784-1) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2023-01-11 |