| NPI | 1922404573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012538) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 15972) |
| 101YM0800X Counselor, Mental Health (Licence: NC 10103) | |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2023-01-17 |