| NPI | 1689300394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 15325) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2025-06-13 |