| NPI | 1740708510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 010410) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P07724) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2026-04-22 |