| NPI | 1013431410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 6617) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 007790-1) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2022-07-21 |