| NPI | 1912373416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 010220) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2025-08-04 |