| NPI | 1033817507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P104804) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 015339) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2024-11-19 |