| NPI | 1790926111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 103K00000X Behavior Analyst | |
| 101YP2500X Counselor, Professional (Licence: NY 010278) | |
| Enumeration Date | 2009-03-14 |
| Last Update Date | 2026-06-25 |