| NPI | 1881207579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013999) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 004157) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2024-09-20 |