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 |