| NPI | 1811616014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013747) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 112208-01) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2023-07-24 |