| NPI | 1093206211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 009645) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P01948) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2021-10-09 |