| NPI | 1073079323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 009264) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 0433649) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2023-01-26 |