| NPI | 1043629967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005291-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH23752) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2024-05-14 |