| NPI | 1760895080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013164) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH20326) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2024-02-20 |