| NPI | 1962164616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20115) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 011689) |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2026-03-01 |