| NPI | 1851090633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P120404) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 016143) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2025-12-16 |