| NPI | 1932929213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P127801) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 073650) |
| Enumeration Date | 2024-10-12 |
| Last Update Date | 2024-10-12 |