| NPI | 1073281903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 015067) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 5508) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2024-08-29 |