| NPI | 1053954297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701008101) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 009975) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2024-08-06 |