NPI | 1033864640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005079) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY P113671) |
Enumeration Date | 2022-02-14 |
Last Update Date | 2022-02-14 |