| NPI | 1861977704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011245) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 647745-1) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2025-07-31 |