| NPI | 1811732597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 016042) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P123174) |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2026-07-22 |