| NPI | 1689593113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 017033) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH25528) |
| Enumeration Date | 2026-07-10 |
| Last Update Date | 2026-07-10 |