| NPI | 1821233560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 18 004173) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH19455) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2025-04-14 |