| NPI | 1053709238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC-0000696) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 005582) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2024-02-13 |