| NPI | 1053772558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15514) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 008216) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2021-06-09 |