| NPI | 1932803285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 015530) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2025-08-21 |