| NPI | 1841798212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 12340-MH-CC) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 007547) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2025-07-02 |