| NPI | 1972134781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012933) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P104056) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2025-06-11 |