| NPI | 1720459712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013341) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 2717-226) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2024-08-23 |