| NPI | 1962924811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 010223) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC2283) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2022-08-24 |