| NPI | 1093440463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012411-01) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NY 760618) |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-20 |