| NPI | 1104312487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 010948-01) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: NY 010948-01) | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2023-02-09 |