| NPI | 1730753021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NY 004290) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004290) |
| 101YP2500X Counselor, Professional (Licence: NY 0042090) | |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2023-01-06 |