| NPI | 1689753196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000992) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000992-1) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2025-01-13 |