| NPI | 1972003036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 014720-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 4310) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2026-05-09 |