| NPI | 1053891861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 4426) |
| 101YM0800X Counselor, Mental Health (Licence: NY 010287) | |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2021-01-19 |