| NPI | 1942883160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 6261) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 011306) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2024-07-09 |