| NPI | 1659011583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 015096) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P114661) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2024-09-25 |