| 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 |