| NPI | 1649887860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 103345) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 16978) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2026-07-19 |