| NPI | 1104383827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20337) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 008959) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2023-10-25 |