| NPI | 1104465517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 094975) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 107784) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2023-03-01 |