| NPI | 1811367659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 006812) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH19186) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2026-04-20 |