| NPI | 1780050807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 010630) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2025-01-31 |