| NPI | 1932945391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 014268) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 7210) |
| Enumeration Date | 2024-07-05 |
| Last Update Date | 2024-07-22 |