| NPI | 1841926185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 014549) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P116715) |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2024-07-08 |