| NPI | 1760142269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011643) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 006513) |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2026-01-21 |