| NPI | 1114578341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 6505) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 008366) |
| Enumeration Date | 2019-09-29 |
| Last Update Date | 2019-11-12 |