| NPI | 1790408011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013367) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 010407) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2025-08-19 |