| NPI | 1770135410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011650-02) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 100859) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2023-12-10 |