| NPI | 1013409671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011765) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 3568) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2023-09-12 |