| NPI | 1013574581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 012242) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: P105660) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2022-04-25 |