| NPI | 1780222869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012547) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 23138) |
| 101YM0800X Counselor, Mental Health (Licence: NC 23138) | |
| 101YP2500X Counselor, Professional (Licence: NY 012547) | |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2026-07-01 |