| NPI | 1780402461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 18-P131355-01) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 18-P131355-01) |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-12-20 |