| NPI | 1023571338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011048-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P03841) |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2021-03-01 |