| NPI | 1780144782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013161) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 108419-01) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-01-15 |